Provider Demographics
NPI:1962138776
Name:HATCH, JULIET TERESE (MS)
Entity type:Individual
Prefix:
First Name:JULIET
Middle Name:TERESE
Last Name:HATCH
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:51652 120TH ST
Mailing Address - Street 2:
Mailing Address - City:WELLS
Mailing Address - State:MN
Mailing Address - Zip Code:56097-4410
Mailing Address - Country:US
Mailing Address - Phone:507-210-5356
Mailing Address - Fax:
Practice Address - Street 1:151 SAINT ANDREWS CT STE 710
Practice Address - Street 2:
Practice Address - City:MANKATO
Practice Address - State:MN
Practice Address - Zip Code:56001-8815
Practice Address - Country:US
Practice Address - Phone:507-386-7121
Practice Address - Fax:507-344-0690
Is Sole Proprietor?:No
Enumeration Date:2022-07-26
Last Update Date:2022-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health